Private Dental Institution Research Articles

Presence of impacted supernumerary teeth in the Indian population.

A tooth that does not erupt into the dental arch during the anticipated developmental window is said to be impacted. A supernumerary tooth (ST) would be any dentition or odontogenic entity that grows from a tooth germ more often than is typical for a particular area of the dental arch (ST). The study's goal is to determine how commonly impacted supernumerary teeth are present within the Indian community. This research project at the institution which was retrospective was done on dental patients who went to the private dental hospital between March 2020 and March 2021. We looked over the medical records of 86,000 patients at the private dental institution and analyzed the data. In the study's 74,421 impaction cases, 139 instances of impacted extra teeth were found. For statistical analysis, collected data were analyzed, entered into an Excel document, and imported into SPSS version 21. In the study population, males between the ages of 21 and 35 years were more frequently observed to have supernumerary impacted teeth. Impacted teeth were more frequently observed in the posterior region rather than the anterior region. Within the constraints of the study, it was shown that males between the ages of 21 and 35 years and the posterior part of the mouth experienced impacted supernumerary teeth the most frequently.

Prevalence of Class V caries in maxillary and mandibular canines of 3-5-year-old children: A retrospective study.

Caries in primary teeth are a major health concern in socially disadvantaged populations and may alter the eruption pattern and function of their successor. The aim of the study is to find the prevalence of Class V caries in maxillary and mandibular canines in 3-5-year-old children. A single-centered retrospective study was conducted in a private dental institution, Chennai. The data were collected from the Dental Hospital Management System of Saveetha Dental College (DIAS). A test for significance was done with the help of the Chi-square test. The most prevalent caries in canines of children between the age group of 3 and 5 years were cervical caries or Class V caries. 5, 35,951 patient details that were available in DIAS, and 2,35,841 were details of pedodontic patients, 200 patients who fulfilled the inclusion criteria were analyzed. It was observed that the prevalence of caries on the right maxillary and mandibular canines (80.00%) was higher than the left counterpart (20.00%) of the same arch. Maxillary canines (70.00%) had more prevalence of caries as compared to mandibular canines (30.00%). Caries prevalence on the right maxillary and right mandibular primary canine was higher than their left counterparts. Maxillary primary canines had more prevalence of caries as compared to mandibular primary canines.

A Comparative Evaluation of the Anxiolytic Effect of Oral Midazolam and a Homeopathic Remedy in Children During Dental Treatment.

Background Midazolam is recommended by many health standards. However, there is no compelling evidence that midazolam has anti-anxiety effects in children. Homeopathy can be one of the mainstays for effective child management while reducing negative side effects. The aim of the study was to evaluate the anxiolytic efficacy of midazolam (oral) and homeopathic remedies in children during dental treatments. Methodology The current ex-vivo study was conducted in the department of Pedodontics and Preventive Dentistry department of a private dental institution. A total of 48 children aged four to 14 years were selected based on the inclusion and exclusion criteria. The participants were evenly and randomly divided into groups A and B using the lottery method. Group A: 20 minutes previous to the treatment, a right blend of an equal volume of 0.5mg/kg injectable solution of midazolam hydrochloride. Group B: Received Aconite napellus (homeopathic remedy). Results During anxiety, the hypothalamic pituitary adrenal axis gets activated which causes a release of body fluids including salivary cortisol levels. Salivary amylase also responds quickly during stress and anxiety by increasing its levels. Midazolam is used in Dentistry to reduce anxiety as it is able to reduce salivary cortisol and amylase levels.Aconite napellus being homeopathic remedy is useful in Dentistry to reduce salivary cortisol and amylase levels which is observed in the present study. There was a decrease in salivary cortisol and amylase concentrations following midazolam (8.51 ± 6.7) (41.48 ± 23.8) and Aconite napellus (homeopathic remedy) (7.53 ± 5.2) (37.08± 22.8) administration, as well as a decrease in heart rate, systolic and diastolic blood pressure. Furthermore, all of the differences were statistically significant (p<0.05). Conclusion In children with behavioral difficulties, homeopathic remedy was marginally more successful than oral midazolam in lowering anxiety during dental treatment.

Comparative Analysis of E-Learning in Private and Public Sector Medical and Dental Institutes in Pakistan

Objective: The aim of this study was to analyze the public and private sector medical and dental institutions’ management of online education amidst the COVID-19 pandemic in Pakistan and to understand whether their respective modes derived satisfaction of e-learning from students. Methods: We conducted a survey of 371 students of various public and private sector medical and dental institutions across Pakistan, investigating their experience, confidence, and satisfaction regarding e-learning. The survey was carried out using ‘Google Forms’, which was sent via email to students. Results: In total, 371 responses were received. Despite the differences in resources and facilities, students of both sectors had not been confident in taking professional exams after the shift to online education: public (81.3%) and private (74.4%); very few students felt confident about their knowledge of basic medical sciences without labs/ practical work: public (10.8%) and private (10.3%); and more than 80% from both sectors also held the belief that e-learning is not sufficient to support academics. Conclusion: Private medical and dental institutes in Pakistan have better funding but students still felt under-confident. Public sector institutes lacked a developed IT department and had an irregular and erratic schedule of online lectures with limited engagement from professors. Many felt that online and traditional learning can be blended to bring forth a form of learning known as "blended learning". Keywords: Blended Learning; E-Learning; Medical Education; Pandemic.

Evaluation Of Abutment According to Acp Classification for Patients Undergoing Tooth Supported Full Mouth Rehabilitation - A Study in University Setting

The tooth supported full mouth reconstruction, regards one of the complex procedures for most dentists. It needs efficient diagnosis and elaborate treatment planning to establish optimum esthetics and function. The clinicians should do a proper evaluation of the abutment teeth. The objective of this study was to evaluate the abutments according to ACP classification for patients undergoing tooth supported full mouth rehabilitation.The data was collected from June 2019 to March 2020 at a private dental institution in Chennai and a total of 51 case records of patients requiring full mouth rehabilitation procedure was obtained. Chi-square test was applied to see associations of age, gender and abutment condition and there was statistical significance between age, gender and abutment condition with p value &lt; 0.05 . The results showed that 42% (n=21) of the patients were categorized as ACP Class- I; 34% (n=17) as Class-II; 8% (n=4) as Class-III; and 16% (n=8) as Class IV. The study reported the high occurrence of Class I abutment condition in both male and female population with 38.5% (n=10) and 45.8% (n=11) respectively.The age wise distribution of abutment condition revealed that in group 1, there was equal distribution between Class I, Class II and Class IV with 28.6% (n=2). In group 2, most of the abutments were Class II with 50% (n=3). In group 3 and 4, most of the abutments were Class 1 with 66.7% (n=6) and 50% (n=6) respectively and Class II was common in group 5. In this study, it can be concluded most of the abutments were ideal or minimally compromised followed by moderately compromised abutments in all age groups and both the gender. Full mouth rehabilitation procedures were carried out more in females than in male population.

COMPARISON OF MAXILLARY AND MANDIBULAR ARCH FORM IN CLASS I, CLASS II AND CLASS III PATIENTS REPORTING FOR TREATMENT

Background: - Archforms play an important role in orthodontic diagnosis and treatment planning. Limitations for tooth movement, especially for incisor retraction arise from the basal bone where teeth are rooted. If teeth move excessively over the alveolar bone, periodontal complications and unstable treatment effects, even the tooth exfoliation may occur. The aim of this study is to compare the maxillary and mandibular arch forms of class I, class II, class III patients reporting for treatment in Saveetha dental college and hospitals, Chennai, Tamil nadu from June 2019 to January 2021.Materials and method: - It is a single centered retrospective study conducted in a private dental institution, Chennai. The data of patients reporting was collected from the dental hospital management system and the arch form was compared. Ethical clearance for this study was obtained from the Institutional review board. Statistical analysis was obtained using SPSS version 20.Results:-The results showed that there is no significant correlation in maxillary and mandibular arch forms among Angle’s Class I, Class II, and Class III malocclusion. Class I occlusal relationship was the most common class of malocclusion followed by Class II malocclusion. Ovoid arch was more common in class I, Class II, Class III malocclusion. Conclusion: - Within the study limits, it was concluded that Class I occlusal relationship was the most common class of malocclusion followed by Class II. Ovoid arch was more common in class I, Class II, Class III malocclusion followed by v-shaped and square arch forms in class I and class III and V-shaped arch was more prominent in class II patients.

CORRELATION BETWEEN UPPER LIP MORPHOLOGY AND PROCLINATION OF ANTERIOR TEETH IN PATIENTS REPORTING FOR ORTHODONTIC TREATMENT

Introduction: Orthodontic treatment is performed to enhance one's aesthetics and morphological harmony and also to improve the function of the oral and maxillofacial region. Soft tissue analysis has always been an integral important part of diagnosis and treatment planning. Lip position has become one among the foremost important soft tissue analysis because it influences the occlusion, tooth stability and facial aesthetics. The aim of this study is to find out the relationship between upper lip morphology and proclination of anterior teethMaterials and methods: It is a single centered retrospective study conducted in a private dental institution in Chennai. The samples were taken from the patients who reported to the dental outpatient department from June 2019 to February 2021. The patient records were reviewed and analyzed. Inclusion criteria included age, gender, lip competency and lip length and proclination of anterior teeth. Proclination of teeth and lip competency were all done through photographic evaluation. Patients in the age group of 18-25 years, with proclination of teeth in the upper arch and class I malocclusion were selected. A total of 513 patients were included in the study.Results and discussion: A total of 513 patients' data were collected according to the criteria. Out of 513 patients 45%(238) were males and (54.2%) 278 were females. Patients in the age group of 18-25 years were selected. However, most of the patients concentrated within a small range with the highest percentage being 24 years(15.6%) and 22 years(15.6%) followed by 23 years(14.8%). 57.7% patients had competent lips, 30.8% had incompetent lips and 11.5% had potentially competent lips. 64.3% of patients had short lip and 35.7% had normal lip length. Class I malocclusion and proclination in the maxilla were seen in all 513 patients. Chi square test was done to assess the relationship between lip competency and Lip length (p&lt;0.05 was considered statistically significant).Conclusion: According to our study it was suggestive that there is a relationship between the upper lip morphology and proclination of anterior teeth.

Problems of ensuring the quality of dental care (based on a sociological survey of dentists)

Annotation. The low level of dental health of the population of Ukraine determines the relevance of the problem of finding opportunities to improve the quality of dental care. One of the modern methods of monitoring the quality of medical care is sociological research. The purpose of the study: to analyze the problems of providing quality dental care based on the results of a sociological survey of dentists. The sociological study covered two qualitatively and quantitatively representative samples, the first of which included 259 dentists from public health institutions, and the second – 109 dentists from private dental institutions in Kyiv. Statistical processing of sociological research materials involved the use of methods of statistical grouping, tabulation, analysis of absolute and relative distribution series, assessment of the statistical reliability of the difference in sociological survey results (according to the Pearson χ2 test). The results of the sociological study showed significant differences in the resource and process components of quality assurance of dental care in public and private health care institutions. According to dentists from public institutions, there is a need to ensure legal and financial independence and stability of institutions (77.6±2.6%), it is necessary to update medical equipment, materials, tools (87.6±2.0%), ensuring patient satisfaction (71.0±2.8%) and improving the quality of dental care (57.5±3.1%). The current management system of municipal dental institutions and its management staff do not have the economic levers to improve the quality of dental care and do not implement effective measures to ensure it in a market economy. Solving the problem of providing the population of Ukraine with affordable and high-quality dental care requires the development of new organizational mechanisms for managing the quality of dental care in public health institutions.

Assessment of knowledge and attitude towards teledentistry during COVID pandemic among undergraduate dentistry students and interns of a private dental institute of Nagpur city

Objectives: The objective of the study were to assess the knowledge and evaluate the attitude toward teledentistry during COVID pandemic among undergraduate dental students and interns of a private dental institute of Nagpur-MS. Material and Methods: The study was conducted among the UG dentistry students and interns of VSPM Dental College &amp; Research Centre, Nagpur, over a period of 1 month. Results: A total of 307 students and interns were surveyed in this study. Out of them, 175 (57%) said that they were aware of the term teledentistry. Two hundred and twenty-seven (74%) participants felt that teledentistry can improve the reach of oral health care to rural areas and during pandemic and 256 (83%) said that they want to practice teledentistry. Conclusion: The knowledge of interns regarding teledentistry was good. Their attitude toward applying it in the profession was satisfactory. More than 80% of students were willing to practice teledentistry and 60% thought that it is the future of dentistry. The future perspective will be assessing more students and interns for more insight on topic.

Evaluation of Change in Knowledge, Attitude and Adoption Regarding Antibiotic Prophylaxis for Infective Endocarditis Before and After Health Education among Dental Interns in a Private Dental Teaching Institution in India

Background: There was paucity of data regarding updating of 2007 AHA (American Heart Association) guidelines among dentists in India.&#x0D; Objective: To evaluate change in knowledge, attitude and adoption of AHA (2007) guidelines regarding Antibiotic prophylaxis for Infective endocarditis before and after health education among dental interns in a private dental teaching institution.&#x0D; Materials and Methods: This was an interventional study conducted among dental interns in a teaching dental institution. Data was obtained using a validated questionnaire that finally had 32 items. Data was obtained by sharing an online link to complete survey. A reminder was also given one week later and participant responses obtained. Each correct response for a question was assigned a score of 1 while incorrect response was scored as zero. Total score was computed for each participant. Health education on AHA 2007 guidelines for antibiotic prophylaxis against infective endocarditis was offered to participants using power point presentation for about 30 -45 minutes on a scheduled day following baseline data collection. Immediately after health education, participants were again requested to fill the same questionnaire used at baseline. Mean knowledge score before and after health education was compared using paired sample t-test.&#x0D; Results: 74 participants were considered with response rate of 91.4%. Mean knowledge score significantly increased from 11.5 ± 4.3 (Mean ± Standard deviation) at baseline to 22.9 ± 4.2 post intervention (p &lt; 0.001).&#x0D; Conclusion: Health education intervention was successful in improving knowledge, attitude and adoption of AHA 2007 guidelines for antibiotic prophylaxis against IE among dental interns.

Effect of the Dental Office Environment and the Dentist's Attire on children's cooperation

Aim: The purpose of this cross-sectional descriptive study was to ascertain children's dental clinic choices in order to alleviate anxiety during dental operations. This study employed a survey approach. Methods: A questionnaire was developed to identify a child's choice for a dental facility in order to ease anxiety associated with dental procedures. The research enrolled 92 children aged 7–10 years. The kids were arbitrarily chosen following their initial dental appointment at a private dental institution. Data were analysed using SPSS. The Chi-squared test was used to compare responses to questionnaire questions across age and gender categories. P 0.05 was deemed significant statistically. Results: The demographic data of 92 kids shows that 34% Boys prefer male dentists, whereas 28% girls prefer female dentists. Majority of females opting for lab coats at 23%. Also, 11% of boys and 11% of girls preferred a dentist in surgical gowns. 86% of the kids who were asked like having cartoons on their doctor's office walls. Among them, 50 (54.3%) of the boys liked clinics with cartoon paintings the best. Conclusion: The outcomes of this study will help the dental team build a comfortable dental environment for children, lowering anxiety and enhancing overall treatment quality. Keywords: Child Anxiety, Dentist Attire, child cooperation, dental office cartoon walls

Attitude And Perception Towards Risk of Covid-19 Transmission Among Parents of Children Visiting Dental OPD in Private Dental Institution

Introduction: The COVID-19 pandemic started in late 2019 and it is still prevailing. It has become a strain on today's condition. More importantly, it has affected the healthcare utilization behavior of people and it also increased the level of anxiety and stress in parents. When compared to adults children have a healthy respiratory system and an active innate immune system which play an important role. Due to dental treatment nature, procedures produce splatters and aerosols which contain more blood or saliva from patients and carry the risk of high chances of transmission of the virus on a large-scale. Aim: The study aims to evaluate the attitude and perception towards the risk of COVID transmission among parents of children visiting dental OPD in a private dental institution. Materials and Methods: This is a cross-sectional study containing a sample size of 115. A pre-validated questionnaire is prepared and uploaded in Google forms. This standard questionnaire in Google forms has been circulated. At the end of the survey, all the data were collected and tabulated. The frequency and percentage were calculated and the data is being analyzed by using Chi-square analysis. The Chi-square analysis was done by using the IBM SPSS software version 23. Results: The findings indicate that (90.29%) of parents of children visiting dental OPD would take their child to the dental department if their child had a toothache and (89.14%) of parents reported that the various measures are taken in the dental department give them confidence. (22.33%) of parents aged 40-49 reported that the various measures are taken in the dental department give them confidence which is higher compared to the parents aged 30-39 (18.45%). Chi-square analysis was done and the association was found to be statistically significant, p-value: 0.015(p<0.05). Hence statistically significant. Conclusion: In summary, the attitude and perception of parents about COVID-19 in children are good and in further studies, some measures can be taken to treat the emergency treatment patient with low risk.

Knowledge, Attitude and Practice towards COVID 19 prevention and precaution among non-teaching faculty in a private dental institution.

Background: The society must routinely practice precautionary measures and precautions to control the spread of Coronavirus, as no vaccines and antiviral treatments are currently available. This study examines non-teaching faculties knowledge, attitude and practice (KAP) related to COVID-19, their relationships and identified the pandemics vulnerable population inorder to provide recommendations for policies and behavioural interventions. Materials and methods: A total of 90 non-teaching staff from a private dental institution participated in this study. A self-administered, 12 item questionnaire was circulated among the non-teaching staff. Only completely filled forms were taken into account for analysis by using SPSS software version 23 with Pearson Chi square test method. Results: The final analysis was done using responses from 89 non-teaching faculties. On the whole, knowledge regarding COVID-19 was found to be moderate among these no-teaching staff. Conclusion: This study shows a baseline knowledge regarding this pandemic. Even though the participants had fair knowledge, their attitude towards answering the questions was good.

Awareness About Denture Cleaning Aids Among Dental Students of Private Dental Institution

Awareness About Denture Cleaning Aids Among Dental Students of Private Dental Institution

Analysis of diagnostic methods for planning orthodontic treatment of children with dentoalveolar anomalies used in public and private dental institutions of the Russian Federation

Analysis of diagnostic methods for planning orthodontic treatment of children with dentoalveolar anomalies used in public and private dental institutions of the Russian Federation

Prevalence of Chronic Pulpitis among 13 to 17 Year Old Pediatric Patients Visiting Private Dental Institution in Chennai : A Retrospective Study

Introduction: Pulpitis is a debilitating inflammation of the pulp of the tooth. Bacteria infiltrate the pulp of the tooth, causing it to swell. It may affect one or more teeth. Pulpitis comes in two varieties - acute and chronic. Chronic pulpitis is a long-term inflammation of the pulp tissue that results in permanent damage to the reliability of the pulp tissue.&#x0D; Aim: To assess the prevalence of chronic pulpitis among 13 to 17 year old pediatric patients visiting the private dental institution in Chennai.&#x0D; Materials and Methods: Case sheets of patients were obtained from Record management system software for analysis. Patients with chronic pulpitis within the age group 13 to 17 were selected and the sample size was found to be n = 165 patients. The collected data was then tabulated for statistical analysis using SPSS.&#x0D; Results: From the results obtained in our study , chronic pulpitis was most prevalent in females with age of 16 particularly in mandibular molars (16.97% in 36 and 13.94% in 46).&#x0D; Conclusion: Within the limitations of the study it can be concluded that mandibular molars were commonly affected due to chronic pulpitis and by knowing the prevalence and pathophysiology of chronic pulpitis, dental clinicians can prevent the progression of this condition.

English

BACKGROUND Cone beam computed tomography (CBCT) was first introduced in 2008 and has since seen a tremendous growth in both private dental clinics and dental institutions. This has led to the normalization of CBCT use by general dentists. Therefore, it is essential to assess how and why general and specialist dentists use CBCT. The purpose of this study was to assess the knowledge, practice and attitude towards CBCT among general and specialist dentists working in the kingdom of Saudi Arabia. METHODS In this cross-sectional study, a questionnaire was electronically distributed via email and social media from October 2018 to September 2020. The self-administered questionnaire was divided into five segments: demographics, knowledge, current practice, training and attitude. RESULTS A total of 221 dentists filled the questionnaire including 85 general dentists and 135 post graduate students or specialists. The majority of dentists (81.9 %) demonstrated poor knowledge. Orthodontists and endodontists were most aware of CBCT terms. Most dentists (71.5 %) have a CBCT unit in their practice. Only 34.8 % received CBCT training, the majority of which was theoretical. A positive attitude was noted in 83.2 % of dentists by agreeing to a statement regarding CBCT justification. CONCLUSIONS Poor CBCT knowledge was evident in majority of dentists despite having CBCT in their practice. Dentists are highly aware of the importance of CBCT justification and professional interpretation; however, they lack basic knowledge and training related to this imaging modality. This highlights an institutional gap that policy makers should address in order to ensure the highest quality of patient care. KEY WORDS Cone Beam Computed Tomography; CBCT; Survey

Prevalence and Patterns of Impacted Maxillary third Molar in a Private Dental Institution

Prevalence and Patterns of Impacted Maxillary third Molar in a Private Dental Institution

Incidence of Periapical Lesions in Patients Visiting a Private Dental Institute - A Dental Hospital Based Retrospective Study

Incidence of Periapical Lesions in Patients Visiting a Private Dental Institute - A Dental Hospital Based Retrospective Study

Job satisfaction and stress among dental faculty members: A mixed‐method approach

The study aimed to assess job satisfaction and stress among dental faculty members. It was also planned to explore their experiences and probable solutions through a mixed-method approach. Sequential explanatory mixed-method approach was employed. In the quantitative phase, a cross-sectional web-based questionnaire survey was conducted among dental faculty members in Tamil Nadu, India using the "Google Forms application" link. Based on Dentist Satisfaction Survey, a questionnaire was framed, validated, and used. It included 25 items under four domains (PICS): personal, institutional, cofaculty, and students. Mann-Whitney test was used to compare the differences between two independent groups. Kruskal-Wallis test and Friedman test were used for multiple group comparisons. In the qualitative phase one-on-one, semistructured telephone interviews were conducted among 27 dental faculties from various sectors. A total of 408 participants took part in the quantitative survey. The students-related domain was found to be the most dissatisfied or stressful domain (2.05±0.3) among dental faculties followed by the institutional domain (1.92±0.4) and cofaculty-related domain (1.81±0.6). Based on qualitative interviews, four themes were derived namely (1) academia as a profession, (2) potential stressors, (3) sequelae of stress, and (4) stress-free job. The present study provided deep insight into the stress among dental faculty members and emphasized the need for student-faculty mentor programs. It also stressed the importance of organized monetary structures or pay scales in private dental institutions in India.